Use of non-HIV medication among people living with HIV and receiving antiretroviral treatment in Côte d’Ivoire, West Africa: A cross-sectional study

English version

Autoři: Mariam Mama Djima ^aff001; Didier Koumavi Ekouevi ^aff001; Jean-Pierre Gregoire ^aff003; Boris Tchounga ^aff001; Patrick Ahuatchi Coffie ^aff001; Viet-Thi Tran ^aff001; Franck Y. Touré ^aff001; Jocelyne Moisan ^aff003
Působiště autorů: PACCI, CHU Treichville, Abidjan, Côte d’Ivoire ^aff001; Institut Pasteur de Côte d’Ivoire, Abidjan, Côte d’Ivoire ^aff002; Faculté de pharmacie, Université Laval, Québec, Canada ^aff003; Centre Inserm U 1219, ISPED, Université Victor Segalen, Bordeaux, France ^aff004; Université de Lomé, Département de Santé Publique, Lomé, Togo ^aff005; Axe Santé des populations et pratiques optimales en santé, Centre de recherche du CHU de Québec–Université Laval, Québec, Canada ^aff006
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0221335

Souhrn

Background

In Côte d’Ivoire, people living with HIV (PLHIV) have free access to antiretroviral therapy (ART) and cotrimoxazole. Yet, they may use other medications to treat non-HIV diseases. Scarce data are available regarding the use of non-HIV medications in Africa. This study describes the use of non-HIV medications and identifies the factors associated with their use by PLHIV on ART in Côte d’Ivoire.

Methods

A cross-sectional study was conducted in six HIV clinics in 2016. HIV-1-infected adults receiving ART for at least one year were eligible. A standardized questionnaire was used to collect demographics, HIV characteristics and medication use data. Associated factors were identified using a multivariate adjusted Poisson regression.

Results

A total of 1,458 participants (74% women) were enrolled. The median age was 44 years, and the median duration of ART was 81 months. A total of 696 (48%) participants reported having used at least one non-HIV medication. Among the 1,519 non-HIV medications used, 550 (36%) had not been prescribed and 397 (26%) were from the nervous system class. Individuals who were more likely to report the use of at least one non-HIV medication included those who had been treated in an Abidjan HIV clinic, had a high school education level, had a monthly income between 152 and 304 euros, had a poor perceived health status, had WHO advanced clinical stage, had used traditional medicine products and had not used cotrimoxazole.

Conclusion

Almost half PLHIV on ART reported using non-HIV medication. Further research is needed to assess whether the use of non-HIV medication is appropriate given about a third of those medications are not being prescribed.

Klíčová slova:

Biology and life sciences – Organisms – Social sciences – Sociology – Anatomy – Medicine and health sciences – Microbiology – Medical microbiology – Microbial pathogens – Pathology and laboratory medicine – Pathogens – Diagnostic medicine – Viral pathogens – Immunodeficiency viruses – HIV – Retroviruses – Lentivirus – Viruses – RNA viruses – Immunology – Pharmaceutics – Drug therapy – Vaccination and immunization – Public and occupational health – Preventive medicine – Antiviral therapy – HIV diagnosis and management – Education – Schools – Nervous system – Cardiology – Complementary and alternative medicine

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